Fan the flame: trazodone-induced mania in a unipolar depressed patient with stable sertraline treatment

Jianbo Hu,1,2,* Jianbo Lai,1,2,* Hanzhi Zheng,3 Shaohua Hu,1,2 Yi Xu1,2 1Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China; 2The Key Laboratory of Mental Disorder’s Management in Zhejiang Province, Hangzhou, China; 3Department of...

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Autores principales: Hu JB, Lai JB, Zheng HZ, Hu SH, Xu Y
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Lenguaje:EN
Publicado: Dove Medical Press 2017
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Acceso en línea:https://doaj.org/article/d5512515d8f241b9880bf3be1b56f7ac
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spelling oai:doaj.org-article:d5512515d8f241b9880bf3be1b56f7ac2021-12-02T00:38:41ZFan the flame: trazodone-induced mania in a unipolar depressed patient with stable sertraline treatment1178-2021https://doaj.org/article/d5512515d8f241b9880bf3be1b56f7ac2017-08-01T00:00:00Zhttps://www.dovepress.com/fan-the-flame-trazodone-induced-mania-in-a-unipolar-depressed-patient--peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Jianbo Hu,1,2,* Jianbo Lai,1,2,* Hanzhi Zheng,3 Shaohua Hu,1,2 Yi Xu1,2 1Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China; 2The Key Laboratory of Mental Disorder’s Management in Zhejiang Province, Hangzhou, China; 3Department of Clinical Medicine, Zhejiang University School of Medicine, Hangzhou, China *These authors contributed equally to this work Abstract: Depressed patients often complain of sleep disturbance. Routine antidepressive strategies sometimes fail to deal with this intractable issue. Indeed, the supplementation of sleep promoting antidepressants (eg, trazodone, mirtazapine, and agomelatine) is prevalent in clinical practice. However, the combination of different antidepressants may increase the affective lability. Herein, we document a patient with unipolar depression who was compliant with sertraline treatment and who dramatically switched to mania after adding trazodone as a sleeping aid. This case extended our understanding of the potential manic-switching risk when trazodone is used to promote sleep. Keywords: trazodone, sertraline, depression, maniaHu JBLai JBZheng HZHu SHXu YDove Medical PressarticletrazodonesertralinedepressionmaniaNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 13, Pp 2251-2254 (2017)
institution DOAJ
collection DOAJ
language EN
topic trazodone
sertraline
depression
mania
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle trazodone
sertraline
depression
mania
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Hu JB
Lai JB
Zheng HZ
Hu SH
Xu Y
Fan the flame: trazodone-induced mania in a unipolar depressed patient with stable sertraline treatment
description Jianbo Hu,1,2,* Jianbo Lai,1,2,* Hanzhi Zheng,3 Shaohua Hu,1,2 Yi Xu1,2 1Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China; 2The Key Laboratory of Mental Disorder’s Management in Zhejiang Province, Hangzhou, China; 3Department of Clinical Medicine, Zhejiang University School of Medicine, Hangzhou, China *These authors contributed equally to this work Abstract: Depressed patients often complain of sleep disturbance. Routine antidepressive strategies sometimes fail to deal with this intractable issue. Indeed, the supplementation of sleep promoting antidepressants (eg, trazodone, mirtazapine, and agomelatine) is prevalent in clinical practice. However, the combination of different antidepressants may increase the affective lability. Herein, we document a patient with unipolar depression who was compliant with sertraline treatment and who dramatically switched to mania after adding trazodone as a sleeping aid. This case extended our understanding of the potential manic-switching risk when trazodone is used to promote sleep. Keywords: trazodone, sertraline, depression, mania
format article
author Hu JB
Lai JB
Zheng HZ
Hu SH
Xu Y
author_facet Hu JB
Lai JB
Zheng HZ
Hu SH
Xu Y
author_sort Hu JB
title Fan the flame: trazodone-induced mania in a unipolar depressed patient with stable sertraline treatment
title_short Fan the flame: trazodone-induced mania in a unipolar depressed patient with stable sertraline treatment
title_full Fan the flame: trazodone-induced mania in a unipolar depressed patient with stable sertraline treatment
title_fullStr Fan the flame: trazodone-induced mania in a unipolar depressed patient with stable sertraline treatment
title_full_unstemmed Fan the flame: trazodone-induced mania in a unipolar depressed patient with stable sertraline treatment
title_sort fan the flame: trazodone-induced mania in a unipolar depressed patient with stable sertraline treatment
publisher Dove Medical Press
publishDate 2017
url https://doaj.org/article/d5512515d8f241b9880bf3be1b56f7ac
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